Must be signed in order to participate. Please read carefully.
In consideration of my participation in Walk Home, I, on behalf of myself, my heirs, legatees, personal representatives and all those claiming or through me, consent to hereby discharge and forever hold harmless RTN Federal Credit Union ("RTN"), RTN GoodWorks Foundation, Inc., any and all sponsors of the walk, all municipal agencies and municipalities whose property and/or personnel are used and any other sponsoring or co-sponsoring agency(ies) or individuals from responsibility for any injuries or damages I may suffer as a result of my participation in this event.
I certify that I am in good physical condition and am able to participate in this event. In addition, I hereby consent to discharge and release the aforementioned sponsors for any liability whatsoever for the following use: any reproduction of my name, voice, likeness and any and all photographs, sketches, motion pictures, taken or made for use with this event or other related events without obligation to me. I agree to voluntarily collect and submit any and all sponsorship monies I receive to RTN and RTN GoodWorks Foundation, Inc. for the Massachusetts Coalition for the Homeless and indemnify RTN, RTN GoodWorks Foundation, Inc. and other sponsors if I fail to do so.
I certify that all information provided on this form is true and complete and that I will abide by the rules and instructions of the event officials and event management. I have read the entry information for the event and certify my compliance by my signature below (please type).
Walker's electronic signature: (type your name)
Parent/Guardian signature if under 18: (type your name)
Please enter today's date:
|